3701-83-52 Personnel and staffing requirements - freestanding diagnostic imaging centers.

(A) Each freestanding or mobile diagnostic imaging center shall have a radiologist, nuclear medicine physician, authorized user, physician acting within their scope of practice, or chiropractic radiologist, as appropriate to the diagnostic imaging services being offered, that has overall responsibility for the diagnostic imaging services being provided by the freestanding or mobile diagnostic imaging center.

(B) Each freestanding or mobile diagnostic imaging center shall have a physician on site when sedation or contrast agents are being administered.

(C) CT freestanding and mobile diagnostic imaging centers shall have available sufficient and qualified personnel as appropriate for the services being offered as follows:

(1) CT services shall be provided only upon the written order of a physician, chiropractor, dentist or podiatrist;

(2) CT image interpretation shall be conducted by:

(a) A radiologist; or

(b) A physician or chiropractic radiologist acting within his or her scope of practice who does not meet the requirements of paragraph (N) of rule 3701-83-51 of the Administrative Code who has at least two years cross-sectional imaging and interpretation experience.

(3) A medical physicist with one of the following:

(a) Certification by the American board of radiology in radiological physics or diagnostic radiological physics;

(b) Certification by the American board of medical physics in medical physics with a specialty in diagnostic imaging physics;

(c) Master's degree or doctorate from an accredited college or university in physics, biophysics, medical physics, radiological physics or health physics, or mechanical, electrical or nuclear engineering, or applied mathematics with a minor in physics and three years of experience in evaluating diagnostic radiation-generating equipment and quality assessment and improvement programs; or

(d) Current certification by the Ohio department of health as a certified radiation expert in the category of diagnostic other than mammography as specified in paragraph (D) of rule 3701:1-66-03 of the Administrative Code.

(4) An individual licensed under Chapter 4773. of the Revised Code as a radiographer.

(D) MRI freestanding and mobile diagnostic imaging centers shall have available sufficient and qualified personnel as appropriate for the services being offered as follows:

(1) MRI services shall be provided only upon the written order of a physician, chiropractor, dentist or podiatrist;

(2) MRI image interpretation shall be conducted by:

(a) A radiologist; or

(b) A physician or chiropractic radiologist acting within his or her scope of practice who does not meet the requirements of paragraph (N) of rule 3701-83-51 of the Administrative Code who has at least six months experience or training in cross-sectional body imaging and image evaluation and interpretation.

(3) A service and preventive maintenance program shall be established by the health care facility to monitor and maintain, in accordance with the manufacturer's specifications, the equipment management program as required by rule 3701-83-53 of the Administrative Code, and the quality assessment andperformance improvement program as required by rules 3701-83-12 and 3701-83-55 of the Administrative Code.

(4) A technologist for preparing and positioning the patient and for obtaining the MRI data in a manner suitable for interpretation. As used in this paragraph, "technologist" means an individual registered with the American registry of radiologic technologists in the categories of "radiography", "nuclear medicine technology", "radiation therapy technology" or "magnetic resonance imaging"; certified by the American registry of magnetic resonance imaging technologists; or registered as a nuclear medicine technologist with the nuclear medicine technology certification board.

(E) PET and nuclear medicine freestanding and mobile diagnostic imaging centers shall have available sufficient and qualified personnel as appropriate for the services being offered as follows:

(1) PET and nuclear medicine services shall be provided only upon the written order of an authorized user pursuant to rule 3701:1-58 of the Administrative Code;

(2) PET and nuclear medicine image interpretation shall be conducted by one of the following:

(a) A nuclear medicine physician;

(b) A radiologist;

(c) A physician acting within his or her scope of practice who meets the requirements of rule 3701:1-58-36 of the Administrative Code.

(d) A physician acting within his or her scope of practice who does not meet the requirements of paragraph (M) or (N) of rule 3701-83-51 of the Administrative Code that is supervised by a physician who is qualified pursuant to paragraph (E)(2)(a), (E)(2)(b), or (E)(2)(c) of this rule while the physician is completing a training program that will result in certification as a physician listed in paragraph (E)(2)(a), (E)(2)(b), or (E)(2)(c) of this rule.

(3) An individual licensed under Chapter 4773. of the Revised Code as a nuclear medicine technologist; and

(4) A radiation safety officer who meets the requirements of rule 3701:1-58-18 of the Administrative Code and is listed on the Ohio radioactive materials license.

(F) Fluoroscopy freestanding and mobile diagnostic imaging centers shall have available sufficient and qualified personnel as appropriate for the services being offered as follows:

(1) Fluoroscopy services shall only be provided upon the written order of a physician, dentist, or chiropractor;

(2) Fluoroscopy image interpretation shall be conducted by one of the following:

(a) A radiologist;

(b) A physician or chiropractic radiologist acting within his or her scope of practice who does not meet the requirements of paragraph (N) of rule 3701-83-51 of the Administrative Code who has at least six months experience or training in the performance and interpretation of fluoroscopy; or

(3) A medical physicist with one of the following:

(a) Certification by the American board of radiology in radiological physics or diagnostic radiological physics;

(b) Certification by the American board of medical physics in medical physics with a specialty in diagnostic imaging physics;

(c) Master's degree or doctorate from an accredited college or university in physics, biophysics, medical physics, radiological physics or health physics, or mechanical, electrical or nuclear engineering, or applied mathematics with a minor in physics and three years of experience in evaluating diagnostic radiation-generating equipment and quality assessment and improvement programs; or

(d) Current certification by the Ohio department of health as a certified radiation expert in the category of diagnostic other than mammography as specified in paragraph (D) of rule 3701:1-66-03 of the Administrative Code.

(4) An individual licensed under Chapter 4773. of the Revised Code as a radiographer.

(G) In addition to the requirements of paragraph (B) of rule 3701-83-08 of the Administrative Code each freestanding or mobile diagnostic imaging center shall establish personnel files for all individuals who provide diagnostic imaging services and shall:

(1) Maintain files for each individual which specify the types of procedures the individual is permitted to perform; and

(2) At least every twelve months update all files.

(H) For CT and fluoroscopy services, the individual qualified under the requirements of paragraphs (C)(3) and (F)(3) of this rule shall be available for consultation with the radiologist or authorized user responsible for diagnostic imaging services to provide advice and direction, and the availability of the medical physicist shall be documented in writing and shall include:

(1) Conducting an on-site survey at least annually of the imaging equipment in accordance with the manufacturer's specifications to evaluate compliance with applicable rules adopted pursuant to Chapter 3748. of the Revised Code, the equipment management program as required by rule 3701-83-53 of the Administrative Code, and the quality assessment and improvement program as required by rules 3701-83-12 and 3701-83-55 of the Administrative Code; and

(2) Establishing written procedures to specify physics duties that shall be performed by each member of the physics staff in accordance with their qualifications and competance, and with the approval of the radiologist or authorized user responsible for diagnostic imaging services, as applicable to the services provided.

(I) For MRI services, an individual shall be available for consultation with the individual specified in paragraph (A) of this rule to provide advice and direction, and the availability of the individual shall be documented in writing and shall include:

(1) Conducting an on-site survey at least annually to evaluate the equipment management program as required by rule 3701-83-53 of the Administrative Code; and

(2) Establishing written procedures to specify service and preventive maintenance duties that shall be performed by each member of the staff in accordance with their qualifications and competence that are approved by the individual specified in paragraph (A) of this rule.

(J) For PET and nuclear medicine services, the individual qualified under the requirements of paragraph (E)(4) of this rule shall implement and conduct the activities specified in rules 3701:1-58-38 , 3701:1:58-40, 3701:1-58-50 and 3701:1-58-58 of the Administrative Code.

Effective: 04/24/2011
R.C. 119.032 review dates: 02/07/2011 and 02/10/2016
Promulgated Under: 119.03
Statutory Authority: 3702.13
Rule Amplifies: 3701.12 , 3702.30
Prior Effective Dates: 1/13/1996, 6/27/96, 7/26/01, 7/1/06